Clarify the symptom goal

Some patients are trying to reduce heavy bleeding, some are trying to address bulk or pressure, and some are planning around fertility or future pregnancy. Ask what each option is expected to help and what it may not address.

Questions to ask

  • Are my symptoms bleeding-dominant, bulk/pressure-dominant, pain-related, or mixed?
  • Which symptoms would myomectomy aim to improve, and which symptoms would UFE/UAE aim to improve?
  • What would make either option less useful to discuss?

Ask what imaging details matter

Fibroid size, number, location, cavity distortion, pedunculated anatomy, adenomyosis, and other report terms may affect the conversation. ProcedurePath does not interpret those terms; it helps you ask about them.

Questions to ask

  • How do size, number, location, and cavity distortion affect the comparison?
  • Do I need MRI or cavity-focused evaluation before discussing procedure routes?
  • Could adenomyosis or another finding change expected symptom improvement?

Separate OB-GYN and IR questions

For OB-GYN or MIGS

  • Which myomectomy route is being discussed, and why?
  • What should I understand about recurrence, scar tissue, recovery, delivery planning, and possible future procedures?

For interventional radiology

  • What features would make UFE/UAE worth discussing or not worth discussing?
  • What should I ask about recovery, pain plan, follow-up imaging, and reintervention?

Sources

ACOG uterine fibroids FAQ · ACOG UAE FAQ · RadiologyInfo UFE and MRgFUS